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ACNPC-AG Exam Sample Questions with Accurate Answers
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Following cardiac sx, a pt in sinus rhythm suddenly converts to a fib. The pt is asymptomatic. Tx should include a. sedation and cardioversion b. diltiazem (Cardizem) infusion c. emergency defibrillation d. digoxin (Lanoxin) correct answer b. diltiazem (Cardizem) infusion The ACNP should recognize that a toxic exposure to a. methanol is best tx with a sodium bicarb infusion b. salicylates is best tx with n-acetylcysteine (Mucomyst) c. benzos are best tx with hemodialysis d. carbon monoxide is best tx with hyperbaric oxygen correct answer d. carbon monoxide is best tx with hyperbaric oxygen When assessing the weaning ability of a 75 yo COPD pt who is being mechanically ventilated, it is important for the ACNP to consider that elderly pts a. have a greater respiratory reserve than younger pts b. have equivalent PaO2/FiO2 ratios compared to younger pts c. tend to breath faster and shallower than younger pts d. tend to have a lower A-a gradient compared to younger pts correct answer c. tend to breath faster and shallower than younger pts While discharging a pt following knee replacement sx, the pt experiences a new onset episode of chest pain lasting 10 minutes. The cardiac biomarkers and 12-lead ECG are unremarkable. The pt is currently pain free and anxious to go home. The ACNP should a. dc the pt and have them f/u w/their PCP b. hold dc and repeat cardiac biomarkers in 8 hrs c. dc the pt and schedule an appt for a cardiology f/u d. hold dc and schedule an emergent cardiac catheterization correct answer b. hold dc and repeat cardiac biomarkers in 8 hrs